MS. STEPHANIE KELLY DREW (NPI# 1235408691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235408691 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE KELLY DREW |
| Other Name | STEPHANIE KELLY GALLAGHER, BREVER |
| Credential | CRNP |
| Practice Address |
7235 Ohms Ln Edina MN 55439 |
| Mailing Address |
7225 Ohms Ln Ste 150 Edina MN 55439-2172 |
| Practice Telephone | 9528412345 |
| Mailing Telephone | 9528412345 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R212599-6 | MN | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN585810 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R212599-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011850 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Commerce Dr Ste 153, Woodbury, MN 551253058 | 9528412345 | 9528412346 |
| 14551 County Road 11 Ste 100, Burnsville, MN 553374735 | 9528412345 | 9528412346 |
| 7270 Forestview Ln N Ste 100, Maple Grove, MN 553695555 | 9528412345 | 9528412346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679810436 | Stephanie A Drew | Massage Therapist | 507 W 3rd Pl, The Dalles, OR 97058-1307 | 2013-01-13 |
| 1780649202 | Stephanie Joy Drew | Dentist | 1365 Clifton Rd Ne Ste 2300, Atlanta, GA 30322-4405 | 2006-04-18 |
| 1982256434 | Stephanie Drew | Social Worker | 228 Linda Ave, Hawthorne, NY 10532-2054 | 2019-07-15 |
| 1477500098 | Stephanie Drew | Physical Therapist | 322 Beard Creek Road, Edwards, CO 81632 | 2006-05-28 |
| Street Address |
7235 OHMS LN |
| City | EDINA |
| State | MN |
| Zip Code | 55439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938038 | Gordon Alan Beardwood | Anesthesiology | 7235 Ohms Ln, Edina, MN 55439-2148 | 2005-11-02 |
| 1710537329 | Katherine Christine Le-banh | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2019-09-16 |
| 1669983342 | Brian Kasel | Physician Assistant | 7235 Ohms Ln, Edina, MN 55439-2148 | 2017-10-20 |
| 1194244053 | Tiffany Lynn Mcintyre | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2017-09-12 |
| 1528450608 | Vivian Ngongang Ogunyemi | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2015-02-25 |
| 1225466840 | Sally Kangas | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439 | 2013-10-16 |
| 1124466222 | Travis G O'brien | Physical Medicine & Rehabilitation | 7235 Ohms Ln, Edina, MN 55439 | 2013-06-11 |
| 1447557285 | Peggy Marie Maude-griffin | Psychologist | 7235 Ohms Ln, Edina, MN 55439-2148 | 2011-02-14 |
| 1982918967 | Cara Herrmann | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2010-08-02 |
| 1053516443 | Anne Kokayeff | Psychiatry & Neurology | 7235 Ohms Ln, Edina, MN 55439-2148 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887214 | Shannon Greaves | Nurse Practitioner | 6565 France Ave S Ste 101, Edina, MN 55435-2154 | 2019-02-13 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1154494029 | Debra Lynn Shaw | Nurse Practitioner | 3400 West 66th Street, Suite 290, Edina, MN 55435 | 2006-11-16 |
| 1861483257 | Diana Brooke Czel | Nurse Practitioner | 6545 France Ave S Ste 210, Edina, MN 55435-2281 | 2005-11-03 |
| 1598759193 | Christina Marie Braatz | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2005-09-09 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
| 1992355937 | Amal Said | Nurse Practitioner | 7000 York Ave S, Edina, MN 55435-4213 | 2019-09-11 |
| 1225683618 | Dawn Blindauer | Nurse Practitioner | 6905 York Ave S, Edina, MN 55435 | 2019-08-03 |
| 1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on MS. STEPHANIE KELLY DREW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.